Pharmacy Benefit Risk Management

The value of a Pharmacy Benefit Risk Management program.

We can reverse that trend of spending more on prescription medications each year. Plan participants can save 20%+ on average in the first 12-18 months with no change in benefit design.

These are some questions you should be able to answer:

  • Is there a spread between the pharmacy and your PBM?
  • Do you access employer drug coupons (we have seen them only accessed 17% of the time)
  • What is your current PBMs declination rate? (Do you know why this matters?)
  • Is your broker making commission or an override? (Do you know why this matters?)

Let us show you a better way to manage your RX spend. There are many ways to decrease your pharmacy spend with no change in benefit design.

*Yes this is possible, and yes we can prove it!

Why should you pay attention to your pharmacy spend?

There many more reasons that what we have outlined here, but this list is a good start.

25%

of brand name drugs represent 80% of total spend

Name brand medications are increasing at a annual rate of

13%

25%

of healthcare spend is on prescription drugs

50%

of drug spend will be specialty RX by the year 2020.

Yes, we can significantly reduce your RX spend without changing your plan design.

We can prove this by doing a PBM contract, and two year pharmacy spend review. This will allow us to identify potential savings opportunities you can take advantage of immediately.

“Break free from the 12-month quote and hope cycle” with Workforce.

How else can we help?

Enterprise Grade HCM

As an option addition, we offer an integrated payroll, time, scheduling & tax engine that simplifies your entire employee lifecycle. Our enterprise HCM solution automates business process while ensuring accuracy and providing in-depth reporting options.

New Hire & Open Enrollment Support

We employ a comprehensive multi stage approach when conducting enrollments. The process begins several months before enrollment begins and carries on after it is completed. We customize this process to align with your initiatives and business goals.

Compliance Support

Through our partner company, we offer a comprehensive consulting services, legal expertise, plan document drafting, subrogation and overpayment recovery, claim negotiation, and plan defense designed to control costs and protect plan assets.

JOIN US FOR A DISCOVERY CALL

We want to learn more about you! This short call gives you time to let us know about your needs to see if our services are right for you.